Sandra Yu Kim, FNP, RN, PHN in Los Alamitos, CA

Sandra Yu Kim, FNP, RN, PHN is a medicare enrolled "Nurse Practitioner - Family" in Los Alamitos, California. Her current practice location is 3801 Katella Ave Ste 330, Los Alamitos, California. You can reach out to her office (for appointments etc.) via phone at (562) 594-9546.

Sandra Yu Kim is licensed to practice in California (license number 95018326) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306355698.

Contact Information

	Sandra Yu Kim, FNP, RN, PHN
	3801 Katella Ave Ste 330, Los Alamitos, CA 90720-6900
	(562) 594-9546
	Not Available

Map and Direction

Provider's Profile

Full Name	Sandra Yu Kim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3801 Katella Ave Ste 330, Los Alamitos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306355698
Provider Enumeration Date: 09/29/2017
Last Update Date: 09/08/2021

Medicare PECOS Information:

PECOS PAC ID: 9335538545
Enrollment ID: I20211109002992

Medical Identifiers

Medical identifiers for Sandra Yu Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306355698	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95018326 (California)	Primary
163WC0400X	Registered Nurse - Case Management	95107459 (California)	Secondary
163WM0705X	Registered Nurse - Medical-surgical	95107459 (California)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sandra Yu Kim allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Partners, A Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003949975 PECOS PAC ID: 2769388412 Enrollment ID: O20031211000927

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sandra Yu Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sandra Yu Kim, FNP, RN, PHN 3801 Katella Ave Ste 330, Los Alamitos, CA 90720-6900 Ph: (562) 594-9546	Sandra Yu Kim, FNP, RN, PHN 3801 Katella Ave Ste 330, Los Alamitos, CA 90720-6900 Ph: (562) 594-9546

Reviews and Comments

Nurse Practitioner Nurses in Los Alamitos, CA

Mrs. Danielle Marie Villatoro, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10861 Cherry St Ste 105, Los Alamitos, CA 90720 Phone: 562-595-1961 Fax: 562-595-5351
Xuan Hoang Linda Thi Tran, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10921 Cherry St Ste 200, Los Alamitos, CA 90720 Phone: 562-594-5996
Ruby Elaine Calalo, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3851 Katella Ave Ste 315, Los Alamitos, CA 90720 Phone: 562-626-8016
Klariz Lazo, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3851 Katella Ave Ste 375, Los Alamitos, CA 90720 Phone: 562-493-6568
Carol Ann Crawford, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3460 Katella Ave, Los Alamitos, CA 90720 Phone: 562-594-6599 Fax: 562-598-6220
Sean Lee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4288 Katella Ave, Los Alamitos, CA 90720 Phone: 562-296-8514
Katelyn Amanda Stults, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3742 Katella Ave Ste 302, Los Alamitos, CA 90720 Phone: 562-702-3825 Fax: 323-302-4581

Sandra Yu Kim, FNP, RN, PHN - Medicare Nurse Practitioner in Los Alamitos, CA